Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $173.78 / $338.84	Facility		$100.00	$173.78	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $489.78	Professional		$70.79	$97.72	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $218.78	Professional		$79.43	$104.71	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $218.78	Professional		$104.71	$154.88	$218.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $107.15 / $181.97	Facility		$75.86	$107.15	$181.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $223.87	Professional		$79.43	$131.83	$223.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $190.55 / $194.98	Facility		$125.89	$190.55	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $104.71 / $173.78	Facility		$75.86	$104.71	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $223.87	Professional		$79.43	$120.23	$223.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $229.09	Professional		$107.15	$154.88	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $239.88	Professional		$100.00	$158.49	$239.88